Individual
RENEA LYNNE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
416 FRONT ST, MARIETTA, OH 45750-2124
(740) 516-6062
(740) 371-7778
Mailing address
555 CAJON ST, REDLANDS, CA 92373-5980
(469) 217-4118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LE-00028116
OH
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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